Tiny Tadpoles Behavioral Services, Llc

LBN: Tiny Tadpoles Behavioral Services, Llc
Tiny Tadpoles Behavioral Services, Llc is an health care organization with primary practice located at 14060 Big Crest Ln Apt 403 , Woodbridge VA 22191-5537. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Tiny Tadpoles Behavioral Services, Llc can be contacted via phone (570) 713-9112, or through Mangrum, Recairdo Demetrius via phone (570) 713-9112.

Contact Information

Primary practice address
14060 Big Crest Ln Apt 403 Woodbridge VA 22191-5537
Phone: (570) 713-9112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mangrum, Recairdo Demetrius M.ED., BCBA
Phone: (570) 713-9112

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Virginia

Profile Details

NPI number 1760828321
LBN Legal business name Tiny Tadpoles Behavioral Services, Llc
DBA Doing business as
Authorized official Mangrum, Recairdo Demetrius M.ED., BCBA
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2013
Last updated May 21st, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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